A nurse is reviewing the medical records of a group of clients who are receiving chemotherapy. The nurse should identify that which of the following clients is at greatest risk for infection?
A 64-year-old client who is taking estrogen supplements
A 70-year-old client who has COPD
A 28-year-old client who has a left arm fracture
A 53-year-old client who has a thin build
The Correct Answer is C
Choice A rationale:
A 64-year-old client taking estrogen supplements does not necessarily indicate a greater risk for infection compared to the other options.
Choice B rationale:
A 70-year-old client with COPD does not necessarily indicate a greater risk for infection compared to the other options.
Choice C rationale:
A 28-year-old client with a left arm fracture is at greater risk for infection due to the open wound and potential introduction of pathogens.
Choice D rationale:
A 53-year-old client with a thin build does not necessarily indicate a greater risk for infection compared to the other options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A contraction stress test is not appropriate in this context and would not address the potential risks associated with the client's symptoms.
Choice B rationale:
The elevated blood pressure and upper abdominal pain suggest potential preeclampsia, a serious complication of pregnancy that can lead to significant maternal and fetal risks. Delivery may be indicated to prevent further complications.
Choice C rationale:
Increasing dietary salt intake is not recommended for managing elevated blood pressure in pregnancy.
Choice D rationale:
Administering ferrous sulfate is unrelated to the client's symptoms and concerns.
Correct Answer is ["0816"]
Explanation
To calculate the estimated date of delivery using Nägele's rule, follow these steps:
-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.
- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.
The estimated date of delivery is August 16
The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).
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